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General NPI Number Information
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NPI Number | 1861235541
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Entity Type | Organization
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Legal Business Name | PREVAIL WELLNESS CENTER
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 2415 SE 165TH AVE STE 104
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City | VANCOUVER
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State | WA
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Zip | 98683-4324
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Country | US
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Telephone | 360-558-3990
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Fax | 360-544-6588
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Provider Business Mailing Address
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Address Line | 2415 SE 165TH AVE STE 104
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City | VANCOUVER
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State | WA
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Zip | 98683-4324
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Country | US
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Telephone | 360-558-3990
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Fax | 360-544-6588
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Authorized Official
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Title or Position | OWNER
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Name | NATALIE HANAN
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Credential | ND, LAC
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Telephone | 360-558-3990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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